Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT06915038

ctHPVDNA in HPV Positive Squamous Cell Carcinoma of the Oropharynx

Led by Indiana University · Updated on 2025-07-31

120

Participants Needed

2

Research Sites

181 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study is a prospective phase II trial, designed to assess the efficacy and feasibility of adjuvant treatment deintensification guided by ctHPVDNA levels for patients with HPV+OPSCC who undergo transoral surgery and neck dissection.

CONDITIONS

Official Title

ctHPVDNA in HPV Positive Squamous Cell Carcinoma of the Oropharynx

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older at the time of consent
  • Ability to provide written informed consent and HIPAA authorization
  • ECOG performance status of 0 to 2
  • Primary tumor located in the oropharynx (palatine tonsil, tongue base, soft palate, lateral or posterior oropharynx walls)
  • Histologically confirmed squamous cell carcinoma
  • Detectable ctHPVDNA from blood samples before treatment
  • Tumor that is resectable and accessible with high chance of negative surgical margins
  • Includes both smokers and non-smokers
  • Tumor stage T1 or T2, or select T3 tumors that are mobile and do not invade the larynx
  • Nodal stage N0, N1, or N2
  • Mobile neck lymph nodes on physical exam if nodes are positive
  • HPV-positive tumor confirmed by p16, in-situ hybridization, PCR, or ctHPVDNA
  • Subjects with unknown primaries included if primary is found and resectable with negative margins, or if tonsils are fully resected and proven negative
Not Eligible

You will not qualify if you...

  • Serious medical conditions that prevent general anesthesia for surgery
  • Previous head and neck radiation or head and neck cancer within 3 years
  • Presence of distant metastatic disease
  • Having synchronous HPV-positive oropharynx primary cancers
  • Prior invasive cancer within 3 years except non-melanoma skin cancer or thyroid cancer unless considered cured or disease free
  • Lactating or pregnant women
  • Women of childbearing potential must have a negative pregnancy test on surgery day unless they have had hysterectomy, bilateral oophorectomy, or have been naturally amenorrheic for at least 12 consecutive months

AI-Screening

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Trial Site Locations

Total: 2 locations

1

IU Health Joe and Shelly Schwarz Cancer Center

Carmel, Indiana, United States, 46032

Actively Recruiting

2

Indiana University Melvin and Bren Simon Comprehensive Cancer Center

Indianapolis, Indiana, United States, 46202

Actively Recruiting

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Research Team

A

Azeezat Yekinni

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

3

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